| Changes Counseling LLC | |
|
3514 Country Club Ave Ste 2 Fort Smith AR 72903-3300 | |
| (479) 883-2081 | |
| Not Available |
| Full Name | Changes Counseling LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3514 Country Club Ave Ste 2, Fort Smith, Arkansas |
| Authorized Official Name and Position | Patricia M Lashley (OWNER) |
| Authorized Official Contact | 4792870009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes Counseling LLC 3514 Country Club Ave Ste 2 Fort Smith AR 72903-3300 Ph: (479) 883-2081 | Changes Counseling LLC 3514 Country Club Ave Ste 2 Fort Smith AR 72903-3300 Ph: (479) 883-2081 |
| NPI Number | 1184105934 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 10/25/2018 |
| Medicare PECOS PAC ID | 5597104661 |
|---|---|
| Medicare Enrollment ID | O20240423000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184105934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1802014 (Arkansas) | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Patricia Lashley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578822235 PECOS PAC ID: 6406295575 Enrollment ID: I20240423000170 |
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